NPI 1902212426 · live from the CMS NPI Registry
Shelly R Daniels, PA C
Physician Assistant in Fargo, ND. National Provider Identifier 1902212426, active.
NPI record
| NPI | 1902212426 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 3173 43rd St S, Fargo, ND 58104 |
| Practice phone | 701-478-8780 |
| Enumerated | July 3, 2014 |
| Last updated | January 21, 2022 |
| Sole proprietor | No |
| Other names | Shelly Aldrich |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 3333-23 (WI) |
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.